Individual
MARIA LEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6719 POPLAR AVE, TAKOMA PARK, MD 20912-4809
(703) 851-5116
Mailing address
6719 POPLAR AVE, TAKOMA PARK, MD 20912-4809
(703) 851-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008686
VA
Other
Enumeration date
01/04/2022
Last updated
12/09/2025
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